| Heidi L Wess, PA-C | |
|
825 Centennial Dr, Chadron, NE 69337-9400 | |
| (308) 432-4441 | |
| (308) 432-2130 |
| Full Name | Heidi L Wess |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 825 Centennial Dr, Chadron, Nebraska |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316920655 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 1007 (Nebraska) | Primary |
| Entity Name | Chadron Medical Clinic PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417167370 PECOS PAC ID: 8022086453 Enrollment ID: O20040922001100 |
| Entity Name | Chadron Community Hospital Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467675629 PECOS PAC ID: 0143397034 Enrollment ID: O20140710000370 |
| Mailing Address | Practice Location Address |
|---|---|
| Heidi L Wess, PA-C Po Box 431, Chadron, NE 69337-0431 Ph: (308) 432-4441 | Heidi L Wess, PA-C 825 Centennial Dr, Chadron, NE 69337-9400 Ph: (308) 432-4441 |
Mary K Moody, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 825 Centennial Dr, Chadron, NE 69337 Phone: 308-432-4441 Fax: 308-432-2130 |
Taryn Jackson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 825 Centennial Dr, Chadron, NE 69337 Phone: 308-432-4441 |
Mr. Edward Allen Sydow, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 825 Centennial Drive, Chadron, NE 69337 Phone: 308-432-4441 Fax: 308-432-2130 |
Ian Ahrens, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 825 Centennial Dr, Chadron, NE 69337 Phone: 308-432-5586 |